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Inteligencia artificial en la semiología médica
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Palabras clave

Semiología médica
Inteligencia artificial
Educación médica
Enseñanza de la semiología
Tecnología en medicina
Modelos de lenguaje de gran tamaño

Cómo citar

Inteligencia artificial en la semiología médica. (2025). Revista Eletrônica Acervo Saúde, 25(9), e21322. https://doi.org/10.25248/reas.e21322.2025

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Resumen

Objetivo: Evaluar la fiabilidad y el rendimiento de las herramientas actuales de inteligencia artificial (IA) que utilizan grandes modelos de lenguaje para describir signos y síntomas en semiología médica y compararlos entre sí. Métodos: Se seleccionaron descriptores comunes en la práctica médica y la enseñanza de la semiología médica, que abarcan los principales sistemas corporales, como los sistemas cardiovascular, respiratorio, digestivo y neurológico. Se utilizaron modelos de lenguaje gratuitos y ampliamente utilizados, como Chat GPT (GPT-4), Gemini 1.5 y Microsoft Copilot, para las consultas mediante el comando "Definir [término]". Las respuestas se evaluaron como inexistentes, incompletas o completas, comparándolas con la literatura especializada. Los casos cuestionables fueron revisados ​​por un tercer observador. Resultados: De las 300 consultas realizadas, el 56,4 % se consideraron completas. El sistema respiratorio mostró la mayor precisión (87,5 %). El asistente virtual de inteligencia artificial Copilot destacó con un 60 % de respuestas completas. Conclusión: La IA ha demostrado potencial en el aprendizaje de la semiología médica, aunque necesita mejoras para lograr una mayor precisión.

PDF (portugués (Brasil))

Referencias

AMISHA M, et al. Overview of artificial intelligence in medicine. J Family Med Prim Care, 2019; 8: 2328-31.

ALZAABI A, MASTERS K. Assessing medical students' readiness for artificial intelligence after pre-clinical training. BMC Med Educ, 2025; 25(1): 824.

ARMSTRONG P. Bloom’s taxonomy. In: Vanderbilt University Center for Teaching (Ed.). A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom’s Taxonomy of Educational Objectives, 2010.

ARORA A. The promise of large language models in health care. The Lancet, 2023; 401(10377): 641.

AYUMBA EM. Medical Semiology Teaching Based on Intelligent eLearning. Stud Health Technol Inform, 2023; 302: 482-483.

BAJWA J, et al. Artificial intelligence in healthcare: transforming the practice of medicine. Future Healthcare Journal, 2021; 8(2): e188–94.

BEARMAN M, et al. Discourses of artificial intelligence in higher education: a critical literature review. High Educ, 2022.

BRASIL. Presidência da República. Lei Geral de Proteção de Dados Pessoais (LGPD). Lei nº 13.709, de 14 de agosto de 2018. Disponível em: https://www.planalto.gov.br/ccivil_03/_ato2015-2018/2018/lei/l13709.html. Acessado em: 28/03/2024.

DA VINHA RICIERI D da V, et al. Erros comuns de docentes sem letramento em Inteligência Artificial: uma revisão integrativa para o ensino superior. Peer Review, 2024; 6(7): 284–300.

DA VINHA RICIERI D, et al. Roteiro de comandos de ajuste fino para ChatGPT. SCIAS - Educação, Comunicação e Tecnologia, 2024; 6(1): 107–138.

DAVENPORT T, KALAKOTA R. The potential for artificial intelligence in healthcare. Future Healthcare Journal, 2019; 6(2): 94-98.

DENNICK R. Constructivism: reflections on twenty five years teaching the constructivist approach in medical education. Int J Med Educ. 2016 Jun 25; 7:200-5.

EMANUEL EJ, WACHTER RM. Artificial Intelligence in Health Care: Will the Value Match the Hype? JAMA, 2019; 321(23): 2281–2282.

GOH PS, SANDARS J. A vision of the use of technology in medical education after the COVID-19 pandemic. MedEdPublish, 2020; 9: 49.

GORDON M, et al. A scoping review of artificial intelligence in medical education: BEME Guide No. 84. Medical Teacher, 2024; 46(4): 446-470.

GRIPAY B, et al. Benefits of semiology taught using near-peer tutoring are sustainable. BMC Med Educ, 2022; 22: 26.

GUAN J. Artificial intelligence in healthcare and medicine: promises, ethical challenges and governance. Chinese Medical Sciences Journal, 2019; 34(2): 76-83.

GUERRERO-ROLDÁN, et al. Experiences in the use of an adaptive intelligent system to enhance online learners' performance: a case study in Economics and Business courses. Int J Educ Technol High Educ 18, 36 (2021).

HAMET P, TREMBLAY J. Artificial intelligence in medicine. Metabolism, 2017; 69: S36-S40.

HE J, et al. The practical implementation of artificial intelligence technologies in medicine. Nature Medicine, 2019; 25(1): 30-36.

HEN J, et al. How Many Demonstrations Do You Need for In-context Learning? arXiv, 2023; n. 2303.08119v3: 1-11.

HORTON R. Offline: No dark sarcasm in the classroom. The Lancet, 2022; 400: 1666.

HUMBLE N, MOZELIUS P. The threat, hype, and promise of artificial intelligence in education. Discover Artificial Intelligence, 2022; 2(1): 22.

JIANG F, et al. Artificial intelligence in healthcare: past, present and future. Stroke and Vascular Neurology, 2017; 2(4): 230-243.

KHOR W, NGIAM KY. Big data and machine learning algorithms for health-care delivery. The Lancet Oncology, 2019; 20(5): e262-273.

KOLACHALAMA VB, GARG PS. Machine learning and medical education. NPJ Digital Medicine, 2018; 1(1): 54.

LASO GUZMÁN FJ. Relevance of medical semiology in the technological era. Med Clin (Barc), 2017; 148(12): 559-561.

LGPD: a Lei Geral de Proteção de Dados Pessoais e a atuação do profissional de medicina / Conselho Federal de Medicina. Brasília: CFM, 2022. Disponível em: https://www.flip3d.com.br/pub/cfm/index9/?numero=38&edicao=5305#page/1. Acessado em: 28/03/2024.

MCCOY LG, et al. What do medical students actually need to know about artificial intelligence? NPJ Digital Medicine, 2020; 3(1): 86.

NGIAM KY, KHOR W. Big data and machine learning algorithms for health-care delivery. The Lancet Oncology, 2019; 20(5): e262-273.

PARANJAPE K, et al. Introducing artificial intelligence training in medical education. JMIR Medical Education, 2019; 5(2): e16048.

PATEL VL, et al. The coming of age of artificial intelligence in medicine. Artificial Intelligence in Medicine, 2009; 46(1): 5-17.

Porto, C. Semiologia Médica. 8. ed. Rio de Janeiro: Guanabara Koogan, 2019.

PSYCHÉ V, RUER P. L’apprentissage adaptatif intelligent. Revue Le Tableau, 2019; 8(4).

RAJPURKAR P, et al. "AI in medical imaging: from prediction to diagnosis". Nature Medicine, 2022; 28: 31–38.

RUIZ JG, et al. The impact of e-learning in medical education. Academic Medicine, 2006; 81(3): 207-212.

STEINHUBL S, TOPOL EJ. Digital medicine, on its way to being just plain medicine. NPJ Digital Medicine, 2018; 1(1): 20175.

SARWAR H, et al. Self-Reported Effectiveness of e-Learning Classes during COVID-19 Pandemic: A Nation-Wide Survey of Pakistani Undergraduate Dentistry Students. Eur J Dent. 2020 Dec; 14(S 01): S34-S43.

TANG KS, et al. Augmented reality in medical education: a systematic review. Canadian Medical Education Journal, 2020; 11(1): e81.

TEIXEIRA JAC. Semiologia médica: principais epônimos, sintomas, manobras e sinais. 1 ed. Rio de Janeiro. Editora UFF, 2024; 506 p.

TOPOL EJ. High-performance medicine: the convergence of human and artificial intelligence. Nature Medicine, 2019; 25(1): 44-56.

TRIANTAFYLLOU SA. Constructivist learning environments. In: Proceedings of the 5th International Conference on Advanced Research in Teaching and Education, 2022.

WHO. Role of primary care in the COVID-19 response. World Health Organization, 2021.

YU KH, et al. Artificial intelligence in healthcare. Nature Biomedical Engineering, 2018; 2(10): 719-731.